Intrauterine Insemination (IUI)

What Is IUI?
Intrauterine insemination (IUI) is a minimally invasive fertility treatment where specially prepared sperm is placed directly into the uterus around the time of ovulation.
This reduces the distance sperm must travel and increases the chances of fertilization.
At Saga Clinic Tirana, Dr. Eser Agar designs carefully monitored IUI cycles to optimize success in couples who meet the criteria for this treatment.
Who Is IUI Suitable For?
IUI is ideal for couples with:
- Unexplained infertility
- Mild male factor infertility (low motility or borderline count)
- Ovulation disorders (PCOS, irregular cycles)
- Cervical mucus problems
- Sexual dysfunction or timing difficulties
- Donor sperm cycles
IUI is often the first step before IVF for appropriate candidates.
How IUI Works at Saga Clinic
1. Cycle Monitoring
We track follicle development using:
- Transvaginal ultrasound
- Hormonal tests when necessary
This ensures ovulation occurs at the right time.
2. Ovulation Induction (If Needed)
Many IUI cycles use:
- Letrozole
- Clomiphene
- Gonadotropins
to stimulate one or two follicles, improving pregnancy rates while minimizing risk of multiples.
3. Triggering Ovulation
When the leading follicle is mature, an hCG trigger shot is used to precisely time ovulation.
IUI is scheduled 24–36 hours afterward.
4. Sperm Preparation
On the day of the procedure:
- A semen sample is collected
- Sperm is washed and concentrated
- Motile, healthy sperm are isolated
This preparation significantly improves the chances of fertilization.
5. The IUI Procedure
The procedure is:
- Quick (5–10 minutes)
- Painless or minimally uncomfortable
- Performed with a thin catheter inserted into the uterus
- No anesthesia required
This places the highest-quality sperm as close as possible to the egg.
6. After the Procedure
You can return to daily activities immediately.
Progesterone support may be recommended depending on your cycle.
A pregnancy test is performed 12–14 days after the IUI.
Success Rates
IUI success varies depending on age and underlying factors:
- 10–20% per cycle for many couples
- Higher when combined with ovulation induction
- Works best when tubes are open and sperm parameters are appropriate
After 3–4 unsuccessful cycles, IVF may offer better results.
Risks of IUI
IUI is very safe.
Possible risks include:
- Mild cramping
- Spotting
- Rare infection
- Multiple pregnancy (especially with gonadotropins)
Monitoring helps minimize all risks.
Why Choose Saga Clinic for IUI?
- Precise ovulation monitoring
- Evidence-based protocols
- Gentle stimulation cycles
- High-quality sperm preparation
- Personalized decision-making
- Direct care by Dr. Eser Agar
- Supportive and comfortable environment
Our approach maximizes success while keeping the process simple and stress-free.
Appointments and Contact
If you’re considering IUI or want to know if it’s right for you, we are here to guide you.
Contact Saga Clinic Tirana to plan your IUI cycle.
Contact & Appointments
For appointment requests or medical inquiries, please contact us using the options below.
📞 Clinic Phone (Office Hours)
+355 69 836 1565
Available Monday–Saturday, 09:00–16:00.💬 WhatsApp (Outside Office Hours)
+355 69 456 4467
Available outside office hours via WhatsApp Message only.
Author: Asst. Prof. Eser Ağar, MD — Obstetrician and Gynecologist
This page is for informational purposes and does not replace examination and physician evaluation.
Medically reviewed: Asst. Prof. Eser Ağar, MD —